Health Fair/Community Event Request Form

Last updated: November 15, 2022

Comms: Health Fair

Thank you for your interest in partnering with the Anne Arundel County Department of Health for your upcoming event. We offer our display resources to public events, such as health fairs, in Anne Arundel County in order to inform the community about important health topics. To request that the Department participate in your event or provide materials, please complete the event request form at least two weeks prior to the event.

All requests are reviewed once received. Our ability to honor your request is based on staffing and date. The form is a notification to the Office of Communications and not a confirmation that the Department will participate. Depending on those items, we may be able to provide staff and materials or just materials. If we only are able to provide materials, you may have to coordinate a pick-up date and time with the Office of Communications.

If you have any questions or cannot fill out the online form, contact 410-222-4508 or hdpio@aacounty.org.


Are you a current employee of the Anne Arundel County Department of Health?

Your Information

Your Name
Your Name
First
Last

Sponsoring Organization Information:

Type of Sponsor

Event Information

Event Start Time
:
Event End Time
:
Vendor Setup Time:
:
Event Location
Event Location
City
State
Zip Code
Type of Event (Choose all that apply)
Is registration required?
Expected Attendance:
County residents? Age range? Special interests? Language?
Are Tables and Chairs Provided?
Fee to Participate?
Is event in a smoke-free and vape-free environment?
COVID-19 Guidelines
Do you have an image to accompany this event post?
Maximum upload size: 12.58MB

DOH Programs/Services/Information Requested:

Behavioral Health (Check all that apply.)
Diseases and Immunizations (Check all that apply.)
Environmental Health (Check all that apply.)
Infant, Children and Adolescent Services (Check all that apply.)
Uninsured or Low-Cost Health Care (Check all that apply.)
Mailing Address (If materials need to be sent):
Mailing Address (If materials need to be sent):
City
State
Zip/Postal

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